Preprint Article Version 1 NOT YET PEER-REVIEWED

Determinants of Health Care Services Utilization among First Generation Afghan Migrants in Istanbul

Version 1 : Received: 25 December 2016 / Approved: 26 December 2016 / Online: 26 December 2016 (09:57:20 CET)

A peer-reviewed article of this Preprint also exists.

Alemi, Q.; Stempel, C.; Koga, P.M.; Smith, V.; Danis, D.; Baek, K.; Montgomery, S. Determinants of Health Care Services Utilization among First Generation Afghan Migrants in Istanbul. Int. J. Environ. Res. Public Health 2017, 14, 201. Alemi, Q.; Stempel, C.; Koga, P.M.; Smith, V.; Danis, D.; Baek, K.; Montgomery, S. Determinants of Health Care Services Utilization among First Generation Afghan Migrants in Istanbul. Int. J. Environ. Res. Public Health 2017, 14, 201.

Journal reference: Int. J. Environ. Res. Public Health 2017, 14, 201
DOI: 10.3390/ijerph14020201

Abstract

(1) Background: There is insufficient empirical evidence on the correlates of health care utilization of irregular migrants currently living in Turkey. The aim of this study was to identify individual level determinants associated with health service and medication use. (2) Methods: 155 Afghans completed surveys assessing service utilization including encounters with primary care physicians and outpatient specialists in addition to the use of prescription and nonprescription medicines. Multivariate logistic regression analyses were employed to examine associations between service use and a range of predisposing, enabling, and perceived need factors. (3) Results: Health services utilization was lowest for outpatient specialists (20%) and highest for nonprescription medications (37%). Female gender and higher income predicted encounters with primary care physicians. Income, and other enabling factors such as family presence in Turkey predicted encounters with outpatient specialists. Perceived illness-related need factors had little to no influence on use of services; however, asylum difficulties increased the likelihood for encounters with primary care physicians, outpatient services, and the use of prescription medications. 4) Conclusion: This study suggests that health services use among Afghan migrants in Turkey is low considering the extent of their perceived illness-related needs, which may be further exacerbated by the precarious conditions in which they live.

Subject Areas

Afghan; Andersen Model; health services; medications; migrant; Turkey; utilization

Readers' Comments and Ratings (0)

Leave a public comment
Send a private comment to the author(s)
Rate this article
Views 0
Downloads 0
Comments 0
Metrics 0
Leave a public comment

×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.